Digestive 
     Health 
     Food Diary
     Use this diary to record what you eat & 
     drink every day for 14 consecutive days
   Supported by      www.loveyourtummy.org
            Your 2-week
            food diary
                Name
                 Date                                                                    To
                                                                  Food diary instructions:
                                                                  1.     List everything you eat and drink at each    
                                                                         meal for every day
                                                                  2.     In the side section, tick all the  
                                                                         relevant boxes
                                                                  3.     Take your completed diary with you when    
                                                                         you visit your doctor or nurse to discuss if    
                                                                         changes can be made to your diet and                     
                                                                         lifestyle that may help improve your  
                                                                         digestive health
                                                                  www.loveyourtummy.org
                                                                                                                                                  Week 1
                                                      Food eaten                                            Symptoms                                    Severity
                    Day 1 
                                                                                             Bloating                   Diarrhoea 
                                                                                                                                                          None
                                                                                             Flatulence/wind            Constipation
                                                                                                                                                          Mild
                 Breakfast                                                                   Abdominal ache/pain        Heartburn
                                                                                                                                                          Medium
                                                                                                                        Indigestion/dyspepsia
                                                                                                                                                          Strong
                                                                                             Bloating                   Diarrhoea 
                                                                                                                                                          None
                                                                                             Flatulence/wind            Constipation
                                                                                                                                                          Mild
                    Lunch                                                                    Abdominal ache/pain        Heartburn
                                                                                                                                                          Medium
                                                                                                                        Indigestion/dyspepsia
                                                                                                                                                          Strong
                                                                                             Bloating                   Diarrhoea 
                                                                                                                                                          None
                                                                                             Flatulence/wind            Constipation
                                                                                                                                                          Mild
                    Dinner                                                                   Abdominal ache/pain        Heartburn
                                                                                                                                                          Medium
                                                                                                                        Indigestion/dyspepsia
To                                                                                                                                                        Strong
                                                                                             Bloating                   Diarrhoea 
                                                                                                                                                          None
                                                                                             Flatulence/wind            Constipation
                                                                                                                                                          Mild
                   Snacks                                                                    Abdominal ache/pain        Heartburn
                                                                                                                                                          Medium
                                                                                                                        Indigestion/dyspepsia
                                                                                                                                                          Strong
                    Day 2                             Food eaten                                            Symptoms                                    Severity
                                                                                             Bloating                   Diarrhoea 
                                                                                                                                                          None
                                                                                             Flatulence/wind            Constipation
                                                                                                                                                          Mild
                 Breakfast                                                                   Abdominal ache/pain        Heartburn
                                                                                                                                                          Medium
                                                                                                                        Indigestion/dyspepsia
                                                                                                                                                          Strong
                                                                                             Bloating                   Diarrhoea 
                                                                                                                                                          None
                                                                                             Flatulence/wind            Constipation
                                                                                                                                                          Mild
                    Lunch                                                                    Abdominal ache/pain        Heartburn
                                                                                                                                                          Medium
                                                                                                                        Indigestion/dyspepsia
                                                                                                                                                          Strong
                                                                                             Bloating                   Diarrhoea 
                                                                                                                                                          None
                                                                                             Flatulence/wind            Constipation
                                                                                                                                                          Mild
                    Dinner                                                                   Abdominal ache/pain        Heartburn
                                                                                                                                                          Medium
                                                                                                                        Indigestion/dyspepsia
                                                                                                                                                          Strong
                                                                                             Bloating                   Diarrhoea 
                                                                                                                                                          None
                                                                                             Flatulence/wind            Constipation
                                                                                                                                                          Mild
                   Snacks                                                                    Abdominal ache/pain        Heartburn
                                                                                                                                                          Medium
                                                                                                                        Indigestion/dyspepsia
                                                                                                                                                          Strong
                                                      Food eaten                                            Symptoms                                    Severity
                    Day 3
                                                                                             Bloating                   Diarrhoea 
                                                                                                                                                          None
                                                                                             Flatulence/wind            Constipation
                                                                                                                                                          Mild
                 Breakfast                                                                   Abdominal ache/pain        Heartburn
                                                                                                                                                          Medium
                                                                                                                        Indigestion/dyspepsia
                                                                                                                                                          Strong
                                                                                             Bloating                   Diarrhoea 
                                                                                                                                                          None
                                                                                             Flatulence/wind            Constipation
                                                                                                                                                          Mild
                    Lunch                                                                    Abdominal ache/pain        Heartburn
                                                                                                                                                          Medium
                                                                                                                        Indigestion/dyspepsia
                                                                                                                                                          Strong
                                                                                             Bloating                   Diarrhoea 
                                                                                                                                                          None
                                                                                             Flatulence/wind            Constipation
                                                                                                                                                          Mild
                    Dinner                                                                   Abdominal ache/pain        Heartburn
                                                                                                                                                          Medium
                                                                                                                        Indigestion/dyspepsia
                                                                                                                                                          Strong
                                                                                             Bloating                   Diarrhoea 
                                                                                                                                                          None
                                                                                             Flatulence/wind            Constipation
                                                                                                                                                          Mild
                   Snacks                                                                    Abdominal ache/pain        Heartburn
                                                                                                                                                          Medium
                                                                                                                        Indigestion/dyspepsia
                                                                                                                                                          Strong
                    Day 4                             Food eaten                                            Symptoms                                    Severity
                                                                                             Bloating                   Diarrhoea 
                                                                                                                                                          None
                                                                                             Flatulence/wind            Constipation
                                                                                                                                                          Mild
                 Breakfast                                                                   Abdominal ache/pain        Heartburn
                                                                                                                                                          Medium
                                                                                                                        Indigestion/dyspepsia
                                                                                                                                                          Strong
                                                                                             Bloating                   Diarrhoea 
                                                                                                                                                          None
                                                                                             Flatulence/wind            Constipation
                                                                                                                                                          Mild
                    Lunch                                                                    Abdominal ache/pain        Heartburn
                                                                                                                                                          Medium
                                                                                                                        Indigestion/dyspepsia
                                                                                                                                                          Strong
                                                                                             Bloating                   Diarrhoea 
                                                                                                                                                          None
                                                                                             Flatulence/wind            Constipation
                                                                                                                                                          Mild
                    Dinner                                                                   Abdominal ache/pain        Heartburn
                                                                                                                                                          Medium
                                                                                                                        Indigestion/dyspepsia
                                                                                                                                                          Strong
                                                                                             Bloating                   Diarrhoea 
                                                                                                                                                          None
                                                                                             Flatulence/wind            Constipation
                                                                                                                                                          Mild
                   Snacks                                                                    Abdominal ache/pain        Heartburn
                                                                                                                                                          Medium
                                                                                                                        Indigestion/dyspepsia
                                                                                                                                                          Strong